心力衰竭患者的睡眠呼吸障碍。

IF 2 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Current Opinion in Cardiology Pub Date : 2024-05-01 Epub Date: 2024-02-19 DOI:10.1097/HCO.0000000000001125
Gregory R Jackson, Justin Durland, Frank Hoyland
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引用次数: 0

摘要

综述目的:由于睡眠呼吸障碍在心衰患者中的高发病率及其对发病率和死亡率的影响,这一话题的临床意义与日俱增。它反映了诊断方法和治疗策略的最新进展。它强调了医疗服务提供者需要提高对 SDB 与各种形式心力衰竭之间复杂关系的认识:最近的研究强调,SDB 在心力衰竭患者中的发病率很高,且因心力衰竭的原因而异。新出现的诊断工具,包括家庭睡眠测试和先进的住院病人筛查方法,提高了 SDB 的早期发现和准确诊断率。舌下神经和膈神经刺激等新型治疗模式前景广阔,尤其是在传统疗法效果不佳的情况下。综述还讨论了在不同心力衰竭亚型背景下管理 SDB 的复杂性:近期文献的研究结果表明,改进心衰患者 SDB 的筛查、诊断和创新治疗可降低发病率、死亡率和医疗成本。这篇综述强调了根据患者个体情况采取个性化治疗方法的必要性,突出了新技术和多学科策略在临床实践中的潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sleep-disordered breathing in heart failure.

Purpose of review: This review addresses the evolving intersection of sleep-disordered breathing (SDB) and heart failure, a topic of increasing clinical significance due to the high prevalence of SDB in heart failure patients and its impact on morbidity and mortality. It reflects recent advancements in diagnostic methodologies and therapeutic strategies. It emphasizes the need for heightened awareness among healthcare providers about the complex relationship between SDB and various forms of heart failure.

Recent findings: Recent studies underscore the high incidence of SDB in heart failure patients, varying with the cause of heart failure. Emerging diagnostic tools, including home sleep tests and advanced inpatient screening methods, have improved the early detection and accurate diagnosis of SDB. Novel treatment modalities, like hypoglossal and phrenic nerve stimulation, are promising, especially where conventional therapies are inadequate. The review also discusses the complexities of managing SDB in the context of different heart failure subtypes.

Summary: Findings from recent literature suggest that improved screening, diagnosis, and innovative treatment of SDB in heart failure patients can reduce morbidity, mortality, and healthcare costs. This review emphasizes the need for personalized treatment approaches tailored to individual patient profiles, highlighting the potential of new technologies and multidisciplinary strategies in clinical practice.

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来源期刊
Current Opinion in Cardiology
Current Opinion in Cardiology 医学-心血管系统
CiteScore
4.20
自引率
4.30%
发文量
78
审稿时长
6-12 weeks
期刊介绍: ​​​​​​Current Opinion in Cardiology is a bimonthly publication offering a unique and wide ranging perspective on the key developments in the field. Each issue features hand-picked review articles from our team of expert editors. With fourteen disciplines published across the year – including arrhythmias, molecular genetics, HDL cholesterol and clinical trials – every issue also contains annotated reference detailing the merits of the most important papers.
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